| Doctor Name: | MS. BREANN HAWLEY THOMAS |
| NPI Number: | 1023443215 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | HEN1-0437-9557 |
| Business Practice Address: | 97 Great Teays Blvd Suite 6 Scott Depot, WV - 255609815 |
| Business Phone Number: | 3047576999 |
| Business Fax Number: | 3042015019 |
| Mailing Address: | 97 Great Teays Blvd, Suite 6 SCOTT DEPOT |
| State: | WV |
| Postal Code: | 255609815 |
| Phone Number: | 3047576999 |
| Fax Number: | 3042015019 |
| NPI Enumeration Date: | 09/06/2013 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | HEN1-0437-9557 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |